De Bruyn Seed Store

101 E. Washington

Zeeland, MI 49464

616-772-2316

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When ordering via e-mail, please fill out the following form and submit to us. De Bruyn Seed will contact you within 24 hours of receipt of your e-mail with the exact cost of your order. We thank you for your order.   

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Daytime Phone
E-mail

Payment options:

            Visa    MasterCard    C.O.D.

  Credit Card Number (number only)

  Expiration Date  (numbers only in space) 

  3 Number Security Code (on back)               

  Name as it appears on Credit Card

Please provide the following ordering information:   (Please enter the weight of the seed in the same box as the description of the seed, i.e. 5 lb. Tendergreen Green Bean Seed)

QTY DESCRIPTION

SHIPPING ADDRESS (if different from above )
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

DE BRUYN SEED STORE   101 EAST WASHINGTON   ZEELAND, MICHIGAN   49464   616-772-2316  FAX 616-772-0011  debruynseed@att.net